NPIMap

Organization Active NPI

Georgia Upper Cervical LLC

  • Chiropractor
  • Saint Marys, GA
National Provider Identifier
1265828628
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009418 Issued in GA
Legal business name
GEORGIA UPPER CERVICAL LLC
Practice address
4499 Highway 40 Ste C
Saint Marys, GA 31558-9402
Phone
(912) 882-3323
Fax
(912) 673-7573
NPI assigned
Apr 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brandi Whitehouse, DC
Title
D.C
Phone
(912) 882-3323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR009418 GA Primary

Addresses

Primary practice location

4499 Highway 40 Ste C
Saint Marys, GA 31558-9402

Mailing address

4499 Highway 40 Ste C
Saint Marys, GA 31558-9402
Phone (912) 882-3323

National Provider Directory

National Provider Directory

Locations

4499 Highway 40
Ste C
Saint Marys, GA 31558
Phone (912) 439-3241

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1265828628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 HIGHWAY 40 STE C",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315589402",
            "telephone_number": "912-882-3323",
            "fax_number": "912-673-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 HIGHWAY 40 STE C",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315589402",
            "telephone_number": "912-882-3323",
            "fax_number": "912-673-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA UPPER CERVICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "WHITEHOUSE",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "D.C",
        "authorized_official_telephone_number": "912-882-3323",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.